| | Class 2 Device Recall COOK MEDICAL |  |
| Date Initiated by Firm | November 03, 2023 |
| Date Posted | December 01, 2023 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-0461-2024 |
| Recall Event ID |
93326 |
| 510(K)Number | K171223 |
| Product Classification |
Stents, drains and dilators for the biliary ducts - Product Code FGE
|
| Product | QUANTUM TTC BILIARY BALLOON DILATOR, REF QBD-6X3-E, Order Number G22765; used to dilate strictures of the biliary tree |
| Code Information |
UDI/DI 00827002227651 (each), 10827002227658 (case), Lot Numbers: W4721269, W4721794, W4722640, W4722986, W4723306, W4723844, W4723847, W4724322, W4739837, W4740113, W4742111, W4742513, W4742524, W4743194, W4743197, W4744442, W4744872, W4744873, W4748250, W4751513, W4751773, W4752903, W4753813, W4753820, W4753821, W4754252, W4755365, W4756464, W4756475, W4757731, W4757734, W4758163, W4758168, W4758649, W4758931, W4759974, W4759978, W4760297, W4760463, W4760464, W4760466, W4760720, W4760859, W4761739, W4761741, W4762144, W4762624 |
| FEI Number |
1037905
|
Recalling Firm/ Manufacturer |
Wilson-Cook Medical Inc. 4900 Bethania Station Rd Winston Salem NC 27105-1203
|
| For Additional Information Contact | Cook Medical Customer Relations 800-457-4500 |
Manufacturer Reason for Recall | Nonconforming devices while manufactured correctly, do not comply to their design requirements. Potential harms associated with balloon detachment are endoscopic retrieval of an impacted or non-impacted object, bleeding caused by the retrieval device, or the incident can occur without injury and the object is left to pass naturally. |
FDA Determined Cause 2 | Under Investigation by firm |
| Action | Cook Medical issued an URGENT: MEDICAL DEVICE REMOVAL notice on 11/03/2023 by mail. The notice explained the problem with the device, risk to health, and requested the following actions be taken:
Customer: Cease use, quarantine, and return all affected devices. If devices were further distributed, those to whom the devices were sent must be notified.
Distributor: Quarantine all affected devices, notify your customers to whom you distributed devices. Return all devices to Cook Medical. |
| Quantity in Commerce | 218 devices |
| Distribution | US |
| Total Product Life Cycle | TPLC Device Report |
|
1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls. 2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall. 3 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
|
| 510(K) Database | 510(K)s with Product Code = FGE
|
|
|
|